Individual
DR. CHAD A BAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1021 24TH AVE NW, NORMAN, OK 73069-6365
(405) 329-3937
(405) 329-3556
Mailing address
1021 24TH AVE NW, NORMAN, OK 73069-6365
(405) 329-3937
(405) 329-3556
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2384
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200016870A
—
OK
01
—
241332202
GROUP PTAN
—
01
—
242334601
INDIVIDUAL PTAN
—
01
—
5033820001
CIGNA DMEC
OK
Enumeration date
05/12/2006
Last updated
10/31/2013
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